[Complete knee prosthesis in severe genu valgum. Retrospective review of 90 knees surgically treated through the anterio-external approach].
The authors have made a retrospective study of 90 total knee arthroplasties performed through a lateral approach in knees with a valgus deformity superior or equal to 10 degrees. The mean function score increased from 35.9 to 73.2 postoperatively; the mean knee score increased from 60.2 to 93.6. Radiological evaluation of the mechanical angle (HKA) showed 16 degrees of valgus deviation preoperatively versus only 1.5 degrees of valgus post-operatively. A strict operative technique using a lateral approach in severe valgus knee deformity makes it possible to reproducibly achieve joint stability with good mobility and a neutral mechanical axis in total knee arthroplasty.
Lootvoet
L
L
Service d'orthopédie, Clinique Saint-Luc, Bouge, Belgique.
Blouard
E
E
Himmer
O
O
Ghosez
J P
JP
D000368:Aged; D000369:Aged, 80 and over; D001172:Arthritis, Rheumatoid / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects / Q000379:methods*; D001696:Biomechanical Phenomena; D005260:Female; D005269:Femur / Q000000981:diagnostic imaging / Q000601:surgery; D006406:Hematoma / Q000209:etiology; D006801:Humans; D007592:Joint Diseases / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D007593:Joint Instability / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D007720:Knee Prosthesis; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D010003:Osteoarthritis / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D010243:Paralysis / Q000209:etiology; D010329:Patella / Q000000981:diagnostic imaging / Q000601:surgery; D011859:Radiography; D016059:Range of Motion, Articular; D015203:Reproducibility of Results; D012189:Retrospective Studies; D012584:Sciatic Nerve / Q000503:physiopathology; D012867:Skin / Q000473:pathology; D013977:Tibia / Q000000981:diagnostic imaging / Q000601:surgery; D016138:Walking / Q000502:physiology
Prothèse totale du genou sur grand genu valgum. Revue rétrospective de 90 genoux opérés par abord antéro-externe.